3853 Lodestone Cir - COCCity of EaiaIl
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota j1
Property Address: Vb 1'°s° C AL
COMPLIANCE WITH INITIAL INSPECTION
[__This is to certify that the property listed above has been inspected by authorized City personnel on a` ■ , 201
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required.
COMPLIANCE AFTER CORRECTIVE WORK PERFORMED
n Ihis is to certify that the property listed above has been found to be in compliance with Section 3.40 of the City Code
after satisfactorily completing the required corrective repair work under (check all that apply):
City Approved:
n City Sanitary Sewer Permit
White Copy: Property Owner
n City Plumbing Permit
NOTE:. Applicable only if box is checked: • LJBased on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections be performed to minimize a potential blockage due to
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other.:
t i (D-6
Date
Print name Signature
Yellow Copy: City of Eagan (Parcel F ile)
City of Ea as
rev. 2 23.2010